Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centennial Physician Services, PC

Organization Internal Medicine Physician · NPI 1871436022

Centennial Physician Services, PC is an Internal Medicine Physician in Kingsport, Tennessee. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3831
Phone: (423) 224-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1871436022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Heinrich — President/Owner · (337) 609-1221
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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